Provider Demographics
NPI:1073202396
Name:STARDIG NURSING SERVICES PLLC
Entity Type:Organization
Organization Name:STARDIG NURSING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:STARDIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-680-7709
Mailing Address - Street 1:1410 SE 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-6243
Mailing Address - Country:US
Mailing Address - Phone:503-680-7709
Mailing Address - Fax:360-583-3462
Practice Address - Street 1:1410 SE 121ST AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-6243
Practice Address - Country:US
Practice Address - Phone:503-680-7709
Practice Address - Fax:360-583-3462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care